| NPI | 1578285409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MICHAEL JOHNSON Physician 919-225-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |